Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $131.83 / $190.55	Facility		$53.70	$131.83	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $154.88	Professional		$46.77	$58.88	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $117.49	Facility		$58.88	$67.61	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $81.28	Professional		$31.62	$40.74	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $74.13	Facility		$42.66	$42.66	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $223.87	Facility		$41.69	$41.69	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $93.33	Professional		$32.36	$41.69	$93.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $223.87	Facility		$41.69	$67.61	$223.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $107.15	Professional		$32.36	$41.69	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $79.43	Professional		$43.65	$53.70	$79.43
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $147.91	Professional		$41.69	$67.61	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.67 / $64.57	Facility		$23.44	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $77.62	Professional		$26.92	$38.90	$77.62